Title Page
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Audit Title
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Please attach a PDF copy of the NPI request form before completing the audit
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Conducted on
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Trial Coordinator
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Client
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Personnel or Shift Used
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Location
Component Trial
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Do you have any ticket information for the component?
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R-Code reference if available
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Photo
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Please give a brief overview of the component
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What area(s) is the component going to be used?
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Please state what machinery / equipment will be affected
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Is the component a direct replacement for an existing one?
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What is the R-Code reference number for the current component?
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Measurements of component if available
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Pictures of the component
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Based on your own judgement and feedback from operators, would you recommend this component?
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Trial Coordinator
